Dr Jessica A Prokup, MD | |
2050 Kenny Rd, Columbus, OH 43221-3502 | |
(614) 366-9211 | |
(614) 293-1456 |
Full Name | Dr Jessica A Prokup |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
Location | 2050 Kenny Rd, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770044653 | NPI | - | NPPES |
0351783 | Medicaid | OH |
Entity Name | Pediatric Academic Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Entity Name | Osu Physical Medicine And Rehabilitation, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003029455 PECOS PAC ID: 7012960644 Enrollment ID: O20050223000817 |
Mailing Address | Practice Location Address |
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Dr Jessica A Prokup, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 366-9211 | Dr Jessica A Prokup, MD 2050 Kenny Rd, Columbus, OH 43221-3502 Ph: (614) 366-9211 |
Daniel Kim, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2050 Kenny Rd Ste 3300, Columbus, OH 43221 Phone: 614-366-9211 Fax: 614-366-2201 | |
Dr. John H Vetter, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5975 E Broad St, Suite 302, Columbus, OH 43213 Phone: 614-234-6464 Fax: 614-234-6720 | |
Eunkyung Yu, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 480 Medical Center Dr, Columbus, OH 43210 Phone: 614-293-7604 Fax: 614-293-3809 | |
Dr. William S Pease, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 480 Medical Center Dr, Room 1018, Columbus, OH 43210 Phone: 614-293-7604 Fax: 614-293-3809 | |
Dr. Sandra K Kostyk, M.D., PH.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2050 Kenny Rd, Columbus, OH 43221 Phone: 614-293-4969 Fax: 614-293-6111 | |
Raghavendra Nayak, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 420 N James Rd, Columbus, OH 43219 Phone: 614-257-5200 | |
Velimir Matkovic, MD, PHD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 480 Medical Center Dr, Columbus, OH 43210 Phone: 614-293-7604 Fax: 614-366-3809 |